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FORENSIC FAMILY THERAPY TREATMENT PROGRAM NPI 1336289800


NPI Information

NPI: 1336289800
Provider Name: FORENSIC FAMILY THERAPY TREATMENT PROGRAM
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
1200 CALLOWHILL ST
SUITE 104
PHILADELPHIA, PA
ZIP 19123
Phone: (215) 413-0141
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FORENSIC FAMILY THERAPY TREATMENT PROGRAM is a counselor in Philadelphia, PA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. FORENSIC FAMILY THERAPY TREATMENT PROGRAM NPI is 1336289800. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1200 CALLOWHILL ST
SUITE 104
PHILADELPHIA, PA
ZIP 19123-604
Phone: (215) 413-0141
Fax: (215) 413-0144

The provider's authorized official is Richard J Cohen .
The authorized official title is President and has the following contact phone number (215) 985-2501.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 7/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11000016640022MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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